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TUMOR BIOLOGY New Strategies to Understand and Target Initiation of Aggressive Cancers CHAIR Victoria Louise Seewaldt, MD Duke University Durham, NC SPEAKERS Virginia F. Borges, MD University of Colorado Cancer Center Aurora, CO Deborah W. Knapp, DVM Purdue University West Lafayette, IN
PET DOGS POISED TO ADVANCE CANCER PREVENTION RESEARCH “Lassie,” “Toto,” and Fellow Pet Dogs: Poised to Lead the Way for Advances in Cancer Prevention Deborah W. Knapp, DVM, Deepika Dhawan, PhD, and Elaine Ostrander, PhD OVERVIEW Cancer causes substantial morbidity and takes the lives of over 8 million people worldwide each year. Advances in cancer prevention research are crucial, and animal models are key to this. There are many valuable experimentally induced cancer models, but these do not fully meet the needs for cancer prevention studies. Pet dogs with risks for naturally occurring cancer can fill important gaps in cancer prevention research. Using invasive urothelial carcinoma (iUC) as an example, the advantages of utilizing pet dogs include: (1) close similarities between dogs and humans in carcinogenesis, molecular and cellular features, invasive and metastatic behavior, and response to treatment, thus providing high relevance for comparative studies, (2) shared environment between dogs and humans to help identify not-yet-known environmental iUC risks, (3) strong breed-associated risk (5- to 21-fold increased risk compared with mixed breeds) that facilitates investigation of gene-environment interactions, screening, and early intervention, (4) large size of dogs (versus rodents) that allows collection of fluids and tissues via cystoscopy, and detailed imaging at multiple time points, and (5) acceptance for studies in which each participating dog can benefit while enjoying life in their family environment, and in which findings will help other dogs and humans. An ongoing 3-year study in Scottish Terriers (comparable to a 15- to 20-year study in humans) is aimed at defining genetic and environmental risk factors for iUC, effective methods for screening/early detection, and a successful secondary cancer prevention approach with very promising results to date. Pet dogs can indeed propel cancer prevention research. There is a need for improved cancer prevention research. More than 580,000 people in the United States and over 8 million people worldwide are expected to die from cancer, including all cancer types, yearly. 1,2 Although it is accepted that cancer prevention should offer the most cost-effective and appealing long-term strategy to control cancer, cancer prevention research has not kept up with the need, especially for an aging population. 3 One of the challenges in cancer prevention research is the identifıcation and use of relevant animal models in which fındings in the model will actually translate into improved prevention and treatment strategies for humans. Unfortunately, many preclinical models fail to reflect the disease in humans. 4-7 Other published concerns with experimentally induced models include: (1) the induction of cancer in animals that are young and otherwise healthy, whereas humans with cancer are often older with comorbid conditions, (2) the assessment of response in animals with homogeneous tumors versus that in humans with heterogeneous cancer, (3) timing of an intervention in animals that is unrealistic in humans, and (4) the use of toxic doses of treatment agents to achieve a desired outcome in animals when these doses would not be tolerated by humans. 6 CANCER PREVENTION RESEARCH AND THE VALUE OF PET DOGS Strong Potential Value for Pet Dogs in Cancer Research There is growing evidence that pet dogs with specifıc forms of naturally occurring cancer can serve as highly relevant models for those cancers in humans. 8-12 There are an estimated 83 million pet dogs in the United States, 13 and a quarter of older pet dogs are expected to die from cancer. 8-12 For specifıc types of naturally occurring cancer, including, but not limited to, invasive urinary bladder cancer, 8 osteosarcoma, 14 subsets of squamous cell carcinoma, 9 and lymphoma, 15,16 considerable similarities have been noted between the cancer in dogs and humans in regards to histopathology, molecular features, and biologic behavior. Importantly, these cancers develop in the context of an intact immune system, and are characterized by considerable heterogeneity within and between individuals, similar to human cancer. 10 Studies to date indicate that the genes and pathways involved in cancer development in dogs are similar to those in humans. 17,18 Dogs develop cancer in an environment shared with their owners, and this has enabled dogs to serve as sentinels for specifıc carcinogens such as asbestos exposure and mesothelioma risk. 19 Studies From the Department of Veterinary Clinical Sciences, Purdue University, West Lafayette, IN; Purdue University Center for Cancer Research, Purdue University, West Lafayette, IN; National Human Genome Research Institute, National Institutes of Health, Bethesda, MD. Disclosures of potential conflicts of interest are found at the end of this article. Corresponding author: Deborah W. Knapp, DVM, Purdue University, Department of Veterinary Clinical Sciences, 625 Harrison St., West Lafayette, IN 47907-2026; email: knappd@purdue.edu. © 2015 by American Society of Clinical Oncology. asco.org/edbook | 2015 ASCO EDUCATIONAL BOOK e667
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AMERICAN SOCIETY OF CLINICAL ONCOLO
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American Society of Clinical Oncolo
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Controversies in Neoadjuvant Therap
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Clinical Trials of Precision Medici
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Managing Ovarian Cancer in the Olde
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Updates in the Multimodality Manage
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PEDIATRIC ONCOLOGY Real-Time Molecu
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2015 ASCO Annual Meeting Disclosure
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2015 Educational Book Expert Panel
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James Marshall, PhD Roswell Park Ca
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2015 Annual Meeting Supporters* MIS
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David Yurman Corporate Allies Conqu
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INVITED ARTICLES This year’s invi
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STEPHEN T. SONIS portantly, patient
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HUSSAIN AND DIPAOLA TABLE 1. U.S. F
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INVITED ARTICLES DIAGNOSTICS The Fu
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INVITED ARTICLES HEAD AND NECK CANC
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GROSS AND COHEN treatments are poor
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GILBERT ET AL tional scholars, lead
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ENG ET AL colorectal cancer. Indeed
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INVITED ARTICLES BREAST CANCER I Wi
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WILLIAM M. SIKOV gational treatment
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BREAST CANCER Controversies in Neoa
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BREAST CANCER Individualizing the A
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MOLECULAR SUBTYPES AND NEW TARGETS
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CANCER PREVENTION, GENETICS, AND EP
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DECISION MAKING IN THE CONTEXT OF B
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CAN DIET AND LIFESTYLE PREVENT BREA
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REFORMING THE BUY-AND-BILL CHEMOTHE
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CARE DELIVERY AND PRACTICE MANAGEME
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THE PATIENT-CENTERED MEDICAL HOME c
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ZARDAVAS AND PICCART-GEBHART TABLE
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MICHAEL A. POSTOW Managing Immune C
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PRECISION THERAPY FOR RECTAL CANCER
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PRECISION THERAPY FOR RECTAL CANCER
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MARWAN FAKIH TABLE 3. EGFR Targetin
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CERCEK, CUSACK, AND RYAN Treatment
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GASTROINTESTINAL (NONCOLORECTAL) CA
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ABOU-ALFA ET AL sess liver function
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ABOU-ALFA ET AL tinuing liver injur
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ABOU-ALFA ET AL mors including HCC,
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ABOU-ALFA ET AL HCC (Anti-Programme
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AHN ET AL Making Sense of Current a
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AHN ET AL Pancreatic cancer has bee
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AHN ET AL Disclosures of Potential
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EGIDIO DEL FABBRO tion of precachex
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EGIDIO DEL FABBRO FIGURE 3. Mechani
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THE SPECTRUM OF NEUROENDOCRINE TUMO
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CHALLENGING THE TREATMENT PARADIGM
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STAGE I TESTICULAR GERM CELL CANCER
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STAGE I TESTICULAR GERM CELL CANCER
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GERM CELL TUMORS: LOOKING TO THE FU
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SALVAGE CHEMOTHERAPY Salvage Therap
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EARLY CHEMOTHERAPY IN MEN WITH META
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IMMUNOTHERAPY FOR PROSTATE TUMORS I
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GYNECOLOGIC CANCER Cervical Cancer
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MACKAY, WENZEL, AND MILESHKIN 59. F
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GYNECOLOGIC CANCER Managing Ovarian
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DUSKA, TEW, AND MOORE KEY POINTS A
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GYNECOLOGIC CANCER Treatment of the
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CHEMOTHERAPY FOR PATIENTS WITH BMOC
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PROGRESS IN HEAD AND NECK SQUAMOUS
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HEAD AND NECK CANCER PI3-Kinase: Ge
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ISAACSSON VELHO, CASTRO JR, AND CHU
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SHARON H. GIORDANO Comparative Effe
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HEALTH SERVICES RESEARCH AND QUALIT
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INDUSTRY AND ONCOLOGY KEY POINTS F
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INDUSTRY AND ONCOLOGY has been “l
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INDUSTRY AND ONCOLOGY by (covered)
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INDUSTRY AND ONCOLOGY 42. World Hea
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CANCER CARE QUALITY: CURRENT STATE
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MANAGING OLDER PATIENTS WITH ALL Th
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MANAGING OLDER PATIENTS WITH ALL TA
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MANAGING OLDER PATIENTS WITH ALL FI
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MANAGING OLDER PATIENTS WITH ALL FI
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MANAGING OLDER PATIENTS WITH ALL ra
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TREATMENT OF PHILADELPHIA CHROMOSOM
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CD19 CAR THERAPY FOR ALL FIGURE 1.
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CD19 CAR THERAPY FOR ALL 5. Zhou G,
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NEW TARGETED THERAPIES FOR iNHL New
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NEW TARGETED THERAPIES FOR iNHL TAB
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HEMATOPOIETIC CELL TRANSPLANTATION
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LEUKEMIA, MYELODYSPLASIA, AND TRANS
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MICHAEL W. DEININGER TABLE 1. Defin
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MICHAEL W. DEININGER the ATP-bindin
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MICHAEL W. DEININGER broad range ef
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MICHAEL W. DEININGER 30. Hughes T,
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PEMMARAJU AND MOLITERNO TABLE 1. Ac
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PEMMARAJU AND MOLITERNO drome (BCS)
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PEMMARAJU AND MOLITERNO 13. Xing S,
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THERAPIES AND INDICATIONS FOR PH-NE
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LEUKEMIA, MYELODYSPLASIA, AND TRANS
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LUNG CANCER Beyond Second-Line Trea
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BEYOND SECOND-LINE TREATMENT FOR LU
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BEYOND SECOND-LINE TREATMENT FOR LU
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LUNG CANCER New Therapies for Histo
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GERBER, PAIK, AND DOWLATI a tumor t
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GERBER, PAIK, AND DOWLATI squamous
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GERBER, PAIK, AND DOWLATI gression
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GERBER, PAIK, AND DOWLATI Disclosur
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GERBER, PAIK, AND DOWLATI receptor
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BERNARDO H.L. GOULART The Value of
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BERNARDO H.L. GOULART every 6 month
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BERNARDO H.L. GOULART lung-cancer/l
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LUNG CANCER Updates in the Multimod
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WOODARD AND JABLONS section, becaus
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NASSER HANNA Current Standards and
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NASSER HANNA At the 2014 ASCO Annua
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NASSER HANNA culty of this task. Va
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LYMPHOMA AND PLASMA CELL DISORDERS
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NOWAKOWSKI AND CZUCZMAN sociated wi
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NOWAKOWSKI AND CZUCZMAN 15. Aragon-
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DAVID W. SCOTT Cell-of-Origin in Di
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DAVID W. SCOTT FIGURE 1. The Origin
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DAVID W. SCOTT FIGURE 2. Immunohist
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DAVID W. SCOTT FIGURE 3. The Lymph2
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DAVID W. SCOTT 10. Shaffer AL 3rd,
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CHEAH, OKI, AND FANALE Novel Treatm
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CHEAH, OKI, AND FANALE TABLE 3. Sel
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CHEAH, OKI, AND FANALE eral T cell
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STEPHEN ANSELL associated with pati
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STEPHEN ANSELL Disclosures of Poten
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MATEOS AND SAN MIGUEL Smoldering Mu
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MOREAU AND TOUZEAU Multiple Myeloma
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LYMPHOMA AND PLASMA CELL DISORDERS
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MANAGEMENT OF CLL Up-Front Manageme
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MANAGEMENT OF CLL than 17p-/TP53mut
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MANAGEMENT OF CLL could be associat
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MANAGEMENT OF CLL tion by nonmalign
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MANAGEMENT OF CLL fludarabine and c
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MANAGEMENT OF CLL lymphocytic leuke
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PROGNOSTIC FACTORS AND ADJUVANT RAD
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MERKEL CELL CARCINOMA Merkel Cell C
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MERKEL CELL CARCINOMA tions in PIK3
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MERKEL CELL CARCINOMA treating MCC
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MERKEL CELL CARCINOMA 32. Leonard J
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MELANOMA/SKIN CANCERS Locoregional
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PERFUSION AND INFUSION IN THE ERA O
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NEOADJUVANT THERAPY OF MELANOMA Neo
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SULLIVAN ET AL FIGURE 1. Relevant S
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SULLIVAN ET AL Resistance to BRAF i
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SULLIVAN ET AL TABLE 1. Clinical Tr
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SULLIVAN ET AL 17. Halait H, Demart
Page 752 and 753:
SULLIVAN ET AL NRAS-mutant melanoma
Page 754 and 755:
KLEPIN, RODIN, AND HURRIA Treating
Page 756 and 757:
KLEPIN, RODIN, AND HURRIA plication
Page 758 and 759:
KLEPIN, RODIN, AND HURRIA plan was
Page 760 and 761:
KLEPIN, RODIN, AND HURRIA patient-s
Page 762 and 763:
KLEPIN, RODIN, AND HURRIA 62. Blanc
Page 764 and 765:
PERIPHERAL NEUROTOXICITY IN CANCER
Page 766 and 767:
Page 768 and 769:
Page 770 and 771:
Page 772 and 773:
PARTRIDGE, JACOBSEN, AND ANDERSEN C
Page 774 and 775:
PARTRIDGE, JACOBSEN, AND ANDERSEN c
Page 776 and 777:
PARTRIDGE, JACOBSEN, AND ANDERSEN w
Page 778 and 779:
PARTRIDGE, JACOBSEN, AND ANDERSEN v
Page 780 and 781:
LESLIE R. SCHOVER Sexual Healing in
Page 782 and 783:
LESLIE R. SCHOVER tinuous ADT in pr
Page 784 and 785:
LESLIE R. SCHOVER 12. Potosky AL, H
Page 786 and 787:
CATHERINE H. VAN POZNAK TABLE 1. Wo
Page 788 and 789:
CATHERINE H. VAN POZNAK (tamoxifen,
Page 790 and 791:
CATHERINE H. VAN POZNAK TABLE 3. FD
Page 792 and 793:
CATHERINE H. VAN POZNAK premenopaus
Page 794 and 795:
SHARI GOLDFARB KEY POINTS Brea
Page 796 and 797:
SHARI GOLDFARB and friction with va
Page 798 and 799:
SHARI GOLDFARB importance both duri
Page 800 and 801:
PATIENT AND SURVIVOR CARE Moving Su
Page 802 and 803:
MAYER ET AL TABLE 1. Quality Metric
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MAYER ET AL to enhance the quality
Page 806 and 807:
MAYER ET AL FIGURE 2. (A) Infertili
Page 808 and 809:
MAYER ET AL efıcial suggests that
Page 810 and 811:
PATIENT AND SURVIVOR CARE The Chall
Page 812 and 813:
BRUERA AND PAICE Choice of Opioid a
Page 814 and 815:
BRUERA AND PAICE toxicity and proce
Page 816 and 817:
BRUERA AND PAICE effective. Basic s
Page 818 and 819:
PEDIATRIC ONCOLOGY Real-Time Molecu
Page 820 and 821:
CARROLL, RAETZ, AND MEYER KEY POINT
Page 822 and 823:
CARROLL, RAETZ, AND MEYER most are
Page 824 and 825:
CARROLL, RAETZ, AND MEYER markers a
Page 826 and 827:
PEDIATRIC ONCOLOGY Translating Surv
Page 828 and 829:
REDUCING THE BURDEN OF LATE EFFECTS
Page 830 and 831:
Page 832 and 833:
Page 834 and 835:
Page 836 and 837:
PROFESSIONAL DEVELOPMENT The Challe
Page 838 and 839:
ADVANCES IN WEBSITE INFORMATION RES
Page 840 and 841:
Page 842 and 843:
Page 844 and 845:
Page 846 and 847:
COMMUNICATION AND TECHNOLOGY: IT’
Page 848 and 849:
Page 850 and 851:
Page 852 and 853:
PATIENT-REPORTED OUTCOMES IN ONCOLO
Page 854 and 855:
PATIENT-REPORTED OUTCOMES IN ONCOLO
Page 856 and 857:
PROFESSIONAL DEVELOPMENT Trends, An
Page 858 and 859: CLINICAL ONCOLOGY PRACTICE 2015 FIG
Page 860 and 861: CLINICAL ONCOLOGY PRACTICE 2015 (6.
Page 862 and 863: CLINICAL ONCOLOGY PRACTICE 2015 Pro
Page 864 and 865: ADJUVANT/NEOADJUVANT MEDICAL THERAP
Page 870 and 871: INDICATIONS FOR ADJUVANT RADIATION
Page 878 and 879: SARCOMA Latest Advances in Systemic
Page 880 and 881: SYSTEMIC THERAPY FOR OSTEOSARCOMA A
Page 882 and 883: SYSTEMIC THERAPY FOR OSTEOSARCOMA A
Page 884 and 885: RETHINKING TREATMENT FOR CHONDROSAR
Page 892 and 893: BONE SARCOMAS IN ADULTS local disea
Page 894 and 895: BONE SARCOMAS IN ADULTS structure a
Page 896 and 897: SARCOMA Well-Differentiated and Ded
Page 898 and 899: ABBAS MANJI ET AL ticular region. 7
Page 900 and 901: ABBAS MANJI ET AL MYXOID (ROUND CEL
Page 902 and 903: ABBAS MANJI ET AL versus doxorubici
Page 904 and 905: SHLUSH AND HERSHKOVITZ Clonal Evolu
Page 906 and 907: SHLUSH AND HERSHKOVITZ FIGURE 1. Ti
Page 910 and 911: KNAPP, DHAWAN, AND OSTRANDER in dog
Page 912 and 913: KNAPP, DHAWAN, AND OSTRANDER TABLE
Page 914 and 915: KNAPP, DHAWAN, AND OSTRANDER 14. Fe
Page 916 and 917: SOURBIER, SRINIVASAN, AND LINEHAN M
Page 918 and 919: SOURBIER, SRINIVASAN, AND LINEHAN F
Page 920 and 921: SOURBIER, SRINIVASAN, AND LINEHAN T
Page 922: Author Index Abbas Manji, Gulam ...
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